Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.92 / $29.51	Professional		$12.88	$26.92	$29.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $4.47 / $12.30	Professional	26	$3.02	$4.47	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $19.05 / $25.70	Professional	TC	$7.94	$19.05	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.09 / $2.14 / $12.59	Professional	26	$2.09	$2.14	$12.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $15.14	Professional		$8.32	$11.22	$15.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $1.86 / $2.19 / $9.77	Professional	26	$1.86	$2.19	$9.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.17 / $9.55 / $9.55	Professional	TC	$6.17	$9.55	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.96 / $20.42	Facility		$10.23	$10.96	$20.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.95 / $3.16 / $5.89	Facility	26	$2.95	$3.16	$5.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.79 / $26.92	Professional		$7.94	$14.79	$26.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.09 / $2.75 / $6.61	Professional	26	$2.09	$2.75	$6.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $12.59 / $20.42	Professional	TC	$6.03	$12.59	$20.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $21.38 / $26.30	Professional		$3.47	$21.38	$26.30
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.05 / $5.62 / $6.92	Professional	26	$1.05	$5.62	$6.92
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $2.45 / $15.49 / $19.50	Professional	TC	$2.45	$15.49	$19.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.22 / $26.30	Professional		$15.14	$16.22	$26.30
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $4.27 / $7.24	Professional	26	$4.07	$4.27	$7.24
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $12.02 / $18.62	Professional	TC	$10.96	$12.02	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $8.13 / $22.39	Facility		$2.34	$8.13	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.49 / $26.30	Professional		$8.71	$13.49	$26.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $2.82 / $8.91	Professional	26	$2.57	$2.82	$8.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $11.22 / $17.78	Professional	TC	$6.46	$11.22	$17.78